Denise E Goodman, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00342900 Issued in NJ

Practice address

510 31St St BSMT
Union City, NJ 07087-3907

Phone

(201) 866-3322

Fax

(201) 866-2289

NPI assigned

May 25, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New Jersey Kidney Care LLCGroup PAC ID 1052695137, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Jersey Kidney Care LLC

  • Nephrology Physician
  • Jersey City, NJ
  • NPI 1194277392
  Medicare reassignment Care Compare group NPD
• 3 Dimension Diagnostic Solutions

  • Diagnostic Radiology Physician
  • Jersey City, NJ
  • NPI 1760704688
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1730449505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GREENVILLE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052608",
            "telephone_number": "201-333-8222",
            "fax_number": "201-333-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 31ST ST BSMT",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873907",
            "telephone_number": "201-866-3322",
            "fax_number": "201-866-2289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Greenville Ave",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073052608",
            "country_code": "US",
            "telephone_number": "201-333-8222",
            "fax_number": "201-333-0095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "DENISE",
        "middle_name": "E",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00342900",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00342900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0595616",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgoodman35287@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "510 31st St",
            "city": "Union City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070873907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Luis Gonzalez-Molina, DDS
• Francisco D Gonzalez, MD
• Juan A Gonzalez, MD
• Rosa Maria Gonzalez, PHARM.D.
• Jonathan Gooblar, PH.D.
• Robert Goodman, RN
• Grace Dental Union City, LLC
• Graces Counseling Services
• Jeffrey Graciano, PHARM.D
• Grand Integrative Pain Center Inc

• Nurse Practitioner in Union City, NJ
• Providers in Union City, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.